Individual provider Active NPI

Lisa Marie Schulte, ATC/LAT

  • Sports Medicine (Internal Medicine) Physician
  • Kennesaw, GA
National Provider Identifier
1346512357
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
AT001898 Issued in GA
Practice address
1000 Chastain Rd NW
Mailbox 0201
Kennesaw, GA 30144-5588
Phone
(770) 423-6487
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X AT001898 GA Primary

Addresses

Primary practice location

1000 Chastain Rd NW
Mailbox 0201
Kennesaw, GA 30144-5588

Mailing address

144 Ponce de Leon Ave NE
Apt. 1005
Atlanta, GA 30308-4121
Phone (803) 493-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT001898GAMDSports Medicine (Internal Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1346512357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PONCE DE LEON AVE NE",
            "address_2": "APT. 1005",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303084121",
            "telephone_number": "803-493-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHASTAIN RD NW",
            "address_2": "MAILBOX 0201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445588",
            "telephone_number": "770-423-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "ATC/LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "GA",
            "license": "AT001898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.